HomeMy WebLinkAboutGLENN VIEW ESTATES WEST PH 1 BLK 1 LT 11Glenn View
Estates West
#1
Block 1
Lot 11
#051 - 793 -i1
•=v=e Municipality of Anchorage •'
Permit
1c' Development Services Department i js
.- Building Safety Division "�''
On -Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 995196650 Page
www.cianchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Number. SW010357 PID Number. 051-793-11
'tail:
of
Turner Construction
Wastewater System:
0New
❑ Upgrade
Address:
°
PO0 Box 3489. Palmer. AK 99645
ABSORPTION FIELD
Pear: Number of Bedrooms:4
D Bed D Mound O Other.
Trench Deep TreEl Shallow Trench
LEGAL DESCRIPTION
Sot Rang
0.6 GPDIFts
Total Optn from orpnel grads.
4.0 Fl.
from
Gravel depth beneath pipe:
Block: Lot Subdweion.
1 11 Glenn View Estates West Phase 1
Depth to pipe bottom ong.aI grade:
1.80 Ft.
2.20 Ft
Township: Range. Section:
Fe added above unperl grade:
1.24'-1.66+/- Ft.
Gravel Length:
150 Ft.
Well: ■
New 0 Upgrade
Gravel wrath:
5 Ft.
Number of Yrs:
2
Dista between thea:
10+ FL
CYudrabon (Private. A. B. C):
Public Water
Total Depth:
Ft.
Cased to:
FL
Total abeaption area:
1071+ Ft'
Pp Weenie:
SCH40 & F810
Driller.
Date Owed:
Sialic Water Level.
n.
Instance:
Turner Const.
Date Instated.
10/08101
'OWL
GPM
Pump Set at:
FL
Casing Height Above Goam.
FL
TANK
SEPARATION DISTANCES
® Septic • Holding 0 S.T.E.P. 0 Other.
To
From
Septic
Tank
Absorption
Fiend
Lilt
Station
Holding
Tank
Public/Private
Sewer Line
Manufactiaei:
Greer
cawatr.
1250 Gel.
Wel
200'+
200'+
NA
NA
25'+
Maw.
Steel
Nan.xel Compartments:
2
Surface Water
1001+
1001+
NA
NA
LIFT STATION
Lel Una
5'+
101+
NA
NA
Sze.
Gal.
Manufacturer.
Fandaben
'Ramp101+ on level et.
in.
'Pump off level at.
N
HOwater Warm at
to.
Curtain D,...
NA
•50'+
NA
NA
Pump M"" a Mbd't
Ercaral Inspections pedamed by.
Remarks:
'none known.
MARK
TANK & FIELD INSULATED
Location and De.atptiun.
Bottom of siding
Assumed LSvatnn.
100 FL
Engineer's Stamp
��E OF A4q%l
P !
Inspections by: KND Engineering, Inc. Dates: 1M 10108101 sr*+•
9L ': * o
performed
to••
2nd 1019/2001 1
...a000ee.er`:.lf
;r
Development Services Department Approval 1-4 sfyio
Reviewed and approved by: /-� Date: 517-Da2-
, .;L. et. e— .2.:c
a Ken ...Ada, ,
(�'.� CE 706 env
gY/.
2)//
4Ve�PP�RpFESSIHe
AS -BUILT SYSTEM DETAILS/SITE PLAN PERMIT' SW010357
GLENN VIEW ESTATES WEST PH 1 S/D, LOT 11, BLOCK 1 PID# 051-793-11
A -D=19'
B -D= 16'
A-E= 28'
B-E= 19'
A -F= 43'
B -F= 24'
C -G= 19'
B -G= 54'
C -H= 34'
B-H= 58'
A -I= 57'
B -I= 36'
IST VATER VALVE
4
APPROXIMATE LOCATION
OF EXISTING DRIVE
EXISTING 4
DDRM !OUSE
CD
H
CO
NT
401-1
z
ITTER
HO99-1/11
250 GAL
SEPTIC
TANK
SCALE' NTS
T
cgt mc
FINAL GRADE
*01-2
Lot 11
SCALE' 1' a 50
faiaialiaH3i
nm EAnCN
SEWER ROCK
TRENCH 1
75•
FINAL GRADE
I�
nm
SEWER ROCK
93.3 TRENCH 2 93.3
75.
I n' x011 JIiJICIY1NIHII-111--II1--m ICI GIN' •'
PREPARED FOR'
REX TURNER
ARCTIC DEVCO, INC.
P.O. BOX 3489
PALMER, ALASKA 99645
FIELD BOOKS
DD'IICMM.
SrAIOq
A911T LANG
DMn fOL
AUD ^'L 01056.DWC
Cwrvrm
D AM° VBG
DMEO=
DAT(•
K1AD
5/6/02
abo NW1161
dos M" 01056
SCALE' NTS
END ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-6111
N
LOT 6
15' TELECOM Sc ELECT EASEMENT
LOT 5
30.00'
1
83.99
1
Ca
0
30.00' o
1
1
1
N 89'59'03"E 273.0'
37.3
u
U
C
r
I� u
X1.5'
w
o 24.4'
e
LOT 11
40.001 11.
0
N 89'59'03t 240.4'
143 24'
SEPTIC CLEANOIJTS
,6'9St 3.LS,90.00
LOT 10
LOT 6
PLOT PLAN ___ ASBUILT _)S_ SCALE ` 50' NW 0439 ProjePNl 2 _—
Lang & Associates, Inca 1500 Daryl Avenue, Anchorage,
907 522-6476 Phone
Registered Land Surveyors (907 522-4625 Fax
1 hereby certify That 1 have surveyed the following described properly:
Lot 11 Block 1 Glenn View Estates West, Phase No. 1 (Flat No. 2000-42)
adjacent thereto, that no improvements on the properly lying adjacent thereto
encroach on the surveyed premises and that there are no roadways, transmission( fa
lines or other visible easements an said properly except as indicated hereon. 0 e, . r,0
OQ n • E .NET 1 G. L ".\0 . , 6,
Alaska 99515
cs,„ap.
OF•AL‘%%
Anchorage Recording District, Alaska, and th of the improvements situated 0%• 49TH •'� -7 0
thereon ore within the property tines and do not encroach onto the property
0*
f
, al Anth°,age• 07,fa:kn, _g -5j„ 2 • �O
UU .' '
Doted This the oY
4pp O c3 '�
•
II Is the responsibility of the owner to determine the existence of any easements, U4 •�,:,, ,"o
covenants, or restrictions which do not oppeor on the recorded subdivision plot. OQ "FE Ss'o'S. y�>
o0000�6�
I
4
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
/ sL /o -8 -or
1: ooA,..
2±12- /O-9- el
9: co e,,,-
3: 10- 9-G/
Initial /:a4 ' a
Date Issued: Sep 05, 2001
Expiration Date: Sep 05, 2002
Permit Number: SW010357
Legal Description: GLENN VIEW ESTATES WEST PH 1 BLK
Design Engineer: 0070 KND Engineering
Owner Name: Tumer Construction
Owner Address: PO Box 3487
Palmer . AK 99645 -
Parcel ID: 051-793-11
1 LT 11
Site Address:
Lot Size: 40001 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
Q Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy O Private Well 0 Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 (24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date: / 6' --4/
Date: 9-3- -of
•
Parcel! D
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
661- 795-1/
Property owner(s) Turner Construction
Mailing address (1) PO Box 3487, Palmer, AK
Mailing address (2)
Permit Number SW 0 / 0 3(7
Day phone 242-4555
pCode 99645
Legal description (Lot, Block & Sub'd) Lnt 11, Block 1, Glenn View Estates West
Legal description (Section, Township & Range)
Lot Size 40.000+ Acres/Sq.Ft. Number of Bedrooms 4
q000 l
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑
Swimming Pool ❑
Therapy Pool ❑
Well Only
Water Storage
Jacuzzi
Water Softening Unit
'Pk I
I certify that the above information is correct. 1 further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signa re of property owner or authorized agent)
Permit Fees: 320
Date of Payment: 013/1//0i
Receipt Number: 9S7/ 019
(Rev. 72I0o)
Waiver Fees:
Date of Payment:
Receipt Number:
I
KNID ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
August 30, 2001
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650 Ph 1
A
Subject: New sewer permit — Glenn View Estates West, Block 1, Lot 11
Gentlemen:
The owner has requested we proceed forward to obtain a septic permit on the subject
lot. On August 17, 2001 we dug one testhole for the proposed system. The results of
the test are attached. The general slope of this lot is from east to west at a grade of
approximately 0 - 5%. We have designed our system utilizing the testhole we
excavated for the 4 -bedroom house, which is proposed for this lot. The lot will be
served by public water. We propose to install a 5' wide shallow trench. Water was not
encountered during the excavation or monitoring.
There are no public or private wells within 200' of our proposed system location except
as noted. There is no surface water within 100' of the proposed system and there are no
known curtain drains within 50'. We do not expect there to be any adverse effect on
adjacent lots by the development of this system.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
]KND Engineering
Kenneth M. Duffus, P.E.
Attachments: On -Site Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE
GLENN VIEW ESTATES WEST PH 1 S/D, LOT 11, BLOCK 1
KIND
t 26
9
9
t 25
PLAN
t 24
INa Pu0.IC VCLLS VITHIN LMD' 6
PROPOSED SYSICN
MO PRIVATE VCLLS VITHIN IUP Q
PROPOSED STITCH EXCEPT AS NOTED
NO SEPTIC SYSTEMS VITHIN IW Or
PRCPOSCD VCLL EXCEPT AS NOTED
• KEN
9*t
M. DVIFl1S •
CE -711
11"1116:100:411.'
i'
1 ..4
DESIGN DETAILS
4 BDRM X 150 GPD = 600 GPD
600 GPD/.6 GPD PER S0. FT. (9.23 MIN/IN.)= 1000 S0. FT
(1000/5'(W)) X .70(RF) (2.0' GRAVEL) = 140.0 FT. TRENCH
USE 2 TRENCHES - 70 (L) X 5' (V) X 2.0.'(D)
Total depth of system Is 4' from original grade.
Total depth of gravel below distribution pipe is 2.0' .
NOTES:
1. USE A 1250 GALLON SEPTIC TANK INSULATE TANK 1F (4' COVER.
2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM.
3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK.
4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE
MIN. 3' COVER IF REOUIRED.
5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS 1. SEPTICS.
PREPARED FOR:
REX TURNER
ARCTIC DEN/CO, INC.
P.O. BOX 3489
PALMER, ALASKA 99645
Scale: 1'= 100'
PAGE 1 OF 2
FIELD BOOKS
EOMNITEG
11a NDARI;
DRAYIN: VBG
STAKING
°c°' KIID
ASDIALT.
DAIS: 5/22/01
MHO ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
DwG TIIC:
°"G NW1161
AEA) 01056.DWC
a N" 01056
(907)696-6111/FAX (907)696-8111
WASTEWATER DISPOSAL SYSTEM DETAILS
GLENN VIEW ESTATES WEST PH 1 S/D, LOT 11, BLOCK 1
APPROXIMATE LOCATION
OF PROPOSED DRIVE
4 0'
1701110'
0
O
MT
0
PROPOSED 4
BDRM HOUSE
H#0
L
4") !t9 �t
tits
CE -711
r I
,
4joFESS100�
PROPOS
GAL S
0
D 1250
IC TANK
PREPARED FOR:
REX TURNER
ARCTIC DEVCO, INC.
P.O. BOX 3489
PALMER, ALASKA 99645
CO
LITTER
H#99-1/11
Scale: 1-= 20'
PAGE 2 OF 2
11(10 BOOKS
COMPUTED:
SOUND/AY:
DIA
VBG
STA"
uaEa
1040
•sett.
GAR:
DWD. tic:
5/72/01
cone NW1161
lNV D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
Ac•o RE' 01056.DWC
a "" 01056
(907)696-6111/FAX (907)696-8111
• MID ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
1
SOILS PERCOLATION TEST ``
Date Performed: 10/(14,11"S‘
5.
Performed fon. Arctic Devco
Project
Depth
(Feet)
1-
2-
3-
4-
5-
6-
7 -
8-
9-
10-
11-
12-
13- + .'r.�' B O H
14-
15-
16-
17-
18-
19-
20- PRIOR TO TEST
i�••'QCs�-1
st
•rte 9 L .:�,.> . *4
,..• ..............• •... ••y
•
.......
9 Kenneth M. vertu W,e
,I) • CE 7116 •• �•• sk
F�•••••••••••••P\,,e
�� PROFESSON
Glenn View West Bl, L11
TEST HOLE # 01-02
Org — w/ red -brown overburden
GP - brown dry loose gravel
SM/GM — med dense gray
w/cobbles to 10", dry
density increasing w/ depth
HOLE PRESOAKED
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO
Depth to water after monitoring?
What depth? NA
Date?
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
10/4/01
1:00
-
8"
-
2
1:30
30 min
411/16"
3 5/16"
3
'
1:31
-
8"
-
4
2:01
30 min
412/16"
3 4/16"
5'
2:02
-
8"
-
6
2:32
30 min
412/16"
3 4/16"
•
Water
Added
Percolation Rate 9.23 (min/in) Perc hole Diameter 6"
Test Run Between 4 feet and 5 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
KNLIJ ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907) 696-6111/FAX (907) 696-8111
October 4, 2001
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: Design Modification SW010357 — Glenn View West PH1, Bl, L11
Gentlemen:
The buyer of the subject property does not want the septic system at the front door and
subsequently an additional testhole (TH01-2) was excavated for the new proposed
septic system. Due to tighter soils, the design has been modified. All other items on the
previous request will remain the same. Please find the attached plan -design
modifications and soils for your approval.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
IMID Engineering
)rl------
Kenneth M. Duffus, P.E.
Attachments: As noted
WELL &
KND
WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN
GLENN VIEW ESTATES WES TyS/D, LOT 1, BLOCK 11
t 26
9
9
t 25
Lot 5
t 24
PO PUBLIC WELLS VITHIN 200' O
PRIMED SYSTEM
MD PRIVATE VCLLS VITHIN 200' Q
PROMISED SYSTEM EXCEPT AS NOTED
PO SEPTIC STSTCNS VIIHIN 200' Or
PROPOSED VEIL EXCEPT AS NOTED.
70
P1
z
X
0
m
z
.1110.
i3p....
* : A
$
CE -7116
/12 Alf
IrOpEss1oNTh"�
VACANT
Lot 10
B
Lot 6
s Lot 8
I .. 4
DESIGN DETAILS
4 BDRM X 150 GPD = 600 GPD
600 GPD/.8 GPD PER SO. FT. (4.71 MIN/IN.)= 750 SQ. FT
(750/5'(W)) X .50(RF) (4.0' GRAVEL) = 75.0 FT. TRENCH
USE 1 TRENCH - 75 (L) X 5' (V) X 4.0.'(D)
Total depth of system Is 6' From original grade.
Total depth of gravel below distribution pipe is 4.0' .
NOTES:
1. USE A 1250 GALLON SEPTIC TANK INSULATE TANK IF <4' COVER.
2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM.
3. CONTRACTOR VILL ENSURE MINIMUM 27. SLOPE INTO SEPTIC TANK.
4. ADDITIONAL FILL VILL BE ADDED OVER SYSTEM TO ACHIEVE
MIN. 3' COVER IF REQUIRED.
5. CONTRACTOR VILL ENSURE ALL SEPARATIONS TO ADJACENT
YELLS 6 SEPTICS.
PREPARED FOR:
REX TURNER
ARCTIC DEVCO, INC.
P.D. BOX 3489
PALMER, ALASKA 99645
Scale: 1'= 100'
PAGE 1 OF 2
FIELD 800(5
caNPurza
DOU DARY:
DRAW: VBG
STANND[
CEINCD. KMD
ASSAD
DNC. MI:
DAR' 5/22/01
D"'0 NW1161
Ac.D "ILL 01056.0WC
01056
LEND ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
WASTEWATER DISP❑SAL SYSTEM DETAILS
GLENN VIEW ESTATES WEST S/D, LOT 1, BLOCK 11
Nous
❑P❑SED 4
RM HOUSE )
#01-1
1.3
DEC
0
R❑P❑SED 1250
GAL SEP 5 TANK
0-5%
H#9`
�
\
OF L
/* get
KENN UFFU
CE -7116
PRofEssloN' a
PREPARED FOR:
REX TURNER
ARCTIC DEVCO, INC.
P.O. BOX 3489
PALMER, ALASKA 99645
FIELD 800K5
Stec
odMJ1C0:
ORAS
CHECKED:
VBG
10.40
•moat
"It 5/22/01
Scale: 1'= 20'
PAGE 2 OF 2
ll NID ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER. AK 99577-8736
o.c rat:
°"0 NW1161
at'o nt: 01056.0WG
Je a" 01056
(907)696-6111/FAX (907)696-8111
KND ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
1
SOILS PERCOLATION TEST
Performed fon. Arctic Devco
Project:
Depth
(Feet)
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20 -
es g.
:*i •L
•M•., is•
to ,� •
.•.» .0
1, K•nnL
Du( , 4.,
. 7116 .•te a
Date Performed: 08/17/01
Lot 11, Block 1, Glenn View West TEST HOLE #
ORG/SM — black, rootmat w/
red, silty overburden
•:
•
•
SM/GM — gray, dry, silty sand
and gravel w/ cobbles
loose/med. density
density and silt increasing
w/ depth
8.0.11.
HOLE PRESOAKED
PRIOR TO TEST
01-1
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO
Depth to water after monitoring? NO
What depth? NA
Date? 08/27/01
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
8/17/01
11:30
-
8"
-
2
11:40
10 min
510/16"
26/16"
3•
11:41
-
8"
-
4
1151
10 min
511/16"
25/16"
5•
1152
-
8"
-
6
12:02
10 min
513/16"
23/16"
7•
12:03
-
8"
-
8
12:13
10 min
514/16"
2 2/16"
9•
12:14
-
8"
-
10
12:24
10 min
515/16"
21/16"
11•
12:25
-
8"
-
12
12:35
10 min
514/16"
2 2/16"
•
Water
Added
Percolation Rate 4.71 (min/in) Perc Hole Diameter 6"
Test Run Between 3 feet and 4 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-793-11
1. GENERAL INFORMATION
Complete legal description GLENN VIEW ESTATES WEST, PHASE 1. BLOCK 1, LOT 11
Location (site address) 22828 GREEN GARDEN DRIVE, CHUGIAK, AK 99567
Current Property owner(s)MARK GRABER & SUSAN GARRETT Day phone 330-8474
Mailing address 22828 GREEN GARDEN DRIVE, CHUGIAK, AK 99567
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
COSA# DSOIa3
aeevr w1,
Expiration Date: Jr - 7- 01
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
❑ ❑
❑ ❑
®
0
Individual On-site
Individual Holding Tank
Community On-site
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional
civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the
transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal
and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site
Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well
and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one
year with valid water samples.) Certificates are valid for one year for properties served by Class A or 6 wells or
a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for
this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe,
functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify
that based on the information obtained from the Municipality of Anchorage files and from my investigation
and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all
applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm ArcTerra Engineering & Surveying, Inc. Phone 868-3792
Address 20441 PTARMIGAN BLVD.. EAGLE RIVER, AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 05/01/2008
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations.
The assessment of the condition of the well and septic applies only to the conditions as of the day tested.
The flow and absorption rates may change due to subsurface conditions that may not be observed from
the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the
year and the water usage of the family being served by the system. The operational life of all well and
septic systems are subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore, - -
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can ArcTerra guarantee that no unseen
encroachments, deficiencies or discrepancies exist.
5. DSD SIGNATURE
Approved for _� bedrooms.
Disapproved.
Conditional approval for
nem -
I VI \ Kenneth M.'D
, f% CE
cc 014
�joS .••,
bedrooms, with the following stipulations:
\``l,tt `,6 Frr t^ ;;;;
o`er• ON-SITE
�, WATLRANU taro?:
Is : WASTEWATER
o•, PROGRAM
-sc
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
•''t11111)))11
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: ;- 7- 0 8
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: GLENN VIEW ESTATES WEST. P111.131, Lll Parcel ID: 051-793-11
A. WELL DATA
Well type PUBLIC If A, B, or C provide PWSID # _ Well Log (Y/N)
Date completed
Total depth _ft.
Sanitary seal (Y/N) Wires properly protected (Y/N)
Cased to _ft. Casing height (above ground) in.
FROM WELL LOG AT INSPECTION
Date of test
Static water level ft. ft
Well production g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100mL Nitrate mg/L Other bacteria _colonies/100 mL
Arsenic: -_1ng/I Date of sample: Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 10/08/2001 Tank size 1250 gal.
Number of Compartments 2 Cleanouts (Y/N) XFoundation cleanout (YIN) X Depression over tank (Y/N) JY
High water alarm (Y/N) N__Date of pumping 4/29/2008 Pumper Sanitary
C. ABSORPTION FIELD DATA
Date installed 10/08/2001 Soil rating .(g.p.d./ft2 or ft2lbdrm) 0.6 System type Trench
Length (2x75') aft. Width.j ft. Gravel below pipe 2,2ft. ,Total depth 5.66 ft.
Eff. absorption area 1071 ft2 Monitoring tube Y Depression over field ! j
Date of adequacy test 4/29/2008 Results (Pass/Fail) Pass, Forj,bedrooms
Fluid depth in absorption field before test 3„6_,Ecta in. Water added 1320 gal New depth 12.6 & 19.2 in.
Elapsed Time: 1380 min. Final fluid depth 3.6 & 14.4 in. Absorption, rate >= it O 0 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) _If yes, give date
D. LIFT STATION
Date installed
'Pump on' level at_in. "Pump off" level at_in.
Datum Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Size in gallons
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Sewer /septic service line
Animal containment areas
Manhole/Access (YIN)
High water alarm level at_in.
Meets alarm & circuit requirements?
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+
Water main 10'+ Water service line 10'+
Wells on adjacent Tots 200'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Absorption field 5'+
Surface water 100'+
Water Service line 10'+ Surface water 100'+
Curtain drain 50'+NoneKnown)
Driveway, parkingNehicle storage 10'+
Wells on adjacent Tots 200'+
F. COMMENTS
880 gallons added to trench (16" ore -test fluid level) closest
(14.4" ore -test fluid level).
G. ENGINEER'S CERTIFICATION
!certify that 1 have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name KENNETH M. DUFFUS
Date 05/01/2008
to house & 440 vallons to other trench
E of ACT
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100 en : Kenno7.AU
Ct'E% C7116 '�.. ._�
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II�FP"• •l ° •
"p?
COSA Fee $430.00
Date of Payment
Receipt Number
(Rev. 11/05)
0/6/Os
Waiver Fee $
Date of Payment
Receipt Number
(25.00.;
15' TELECOM &
ELECTRIC EASEMENT
NORM Aute suss
LOT 5
N 89'59'03T 273.01'
LOT 6
• .rSEPTIC CLEANOUTS
CANT
J�—Twa STORY
n 1 WOODFRAME
RESIDENCE
10.0' X 16.0'
30.00' I
COVERED PORCH
2.0' X 5.0'
CANT
IW00DEN FENCE
DECK
LOT 11
40,001 1.f.
SEPTIC CLEANOLITS
M
5 89'59'03'W 240.35 -
LOT 10
CHAINLINK FENCE
PLOT PLAN _ AS BUILT X SCALE 1. - 50' GRID NW 1459 Project No
Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage
ors
Registered Land Surve (907) 522-6476
y (907) 522-4625 FaxPhone
fax
kglanglsOalaska.net / jclanglsOolaska.nst
I hereby certify that 1 have surveyed the following dsscrlbed prorty:
AnchorraT ge,ReccorrdingCK „ GLENN Dishlct, Alaska, and thatATES StThelmprovements ssitHASE No. 1 uated thereon ars
within the property linos and do not encroach onto the properly adjacent thereto, that
no Improvements on the property lying adjacent thereto encroach on the surveyed
premises and that then are no roadways, transmission lines or other visible
easements on said property except as Indicated hereon.
Dated this this 1th Day of LUG' iST , 2001 , at Anchorage, Alaska
It Is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat.
07-109
, Alaska 99515-3049
SP. °•'6./.,
iii:• 491ti
i
Q: v. KENNETH
id *' 1$-5202
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-793-11
1. GENERAL INFORMATION
Complete legal description Glenn View Estates West, Phase 1, Block 1, Lot 11
Location (site address or directions) NHN Green Garden Drive, Peters Creek, AK 99567
Current Property owner(s) Turner Construction Day phone
Mailing address PO Box 3489, Palmer, AK 99645
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
HAA # I-/'4 O 2 0 / 7'
Expiration Date: S 7- 0 3
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
❑ Individual On-site
❑ Individual Holding tank ❑
❑ Community On-site ❑
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional
civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the
transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal
and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health
Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well
and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one
year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or
a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Municipality of Anchorage
`Development ;Services' Department
Building ;Safety, Division.
On -Site Water & Wastewater. Program
4700 South Bragaw St.
` P.O. Box 196650 'Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
•1H
A. . WELL DATA
• :I.
. Well type PUBLIC •
Date completed
Total depth
Glenn View Estates West. Phase 1 Block 1. Lot 11
Date of test
Static water level
•
Well production •
If A, 8, or C provide PWSID #
Sanitary seal(Y/N)
Cased to ft.
FROM WELL LOG ..
WATER SAMPLE RESULTS:
.11
Coliform colonies/100 ml.
Arsenic:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic 1 Steel Date installed 10108101
•
Tank size ;1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y
High water alarm (YIN) J
Pumper
g.
.m
Nitrate
Date of,sample:_
mg./L
Parcel ID: 051-793-11
Well Log (Y/N)
Wires properly protected (Y/N)
Casing height (above ground)
AT -INSPECTION
ft,
g.p.m.
Other bacteria colonies/100 ml.
Collected by: KND Engineering
i!; f_i
Foundation cleanout (Y/N) YDepression over tank (Y/N) N
•p,i it
Date of pumping NA -New Construction
C. ABSORPTION FIELD DATA
i ,G i
Date instal ed 10/08101 ' Soil rating (g.p.d./ft2 or ft2/bdrm) 0_6
Length 12x75') 150 ft. Width 5 ft. Gravel below pipe 2.2
Total depth'.5.66 ft. Eff. absorption area 1071'' ft2 Monitoring tube Y
Date of adequacy test NA -New Construction
System type Trench
Fluid 'depthabsorption abs• orption field -before test ` in.
Elapsed iTime: min.: Final fluid depth in.
Any rejuvenation treatment (past 12 mo.) (Y/N '& type) If yes, give date
Depression over field N
Results (Pass/Fail) Pass For 4 bedrooms
ft.
Water added gal. New depth in.
Absorption rate >= ' g;p,d,